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Jesse Couk

@jessecouk.bsky.social
2.2K followers 709 following 927 posts

Dad, ID doc, hospital tour guide, some hospital epi

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Reposted by Jesse Couk
Julian Bene @julianbene.bsky.social · 10/10/2026
Your TAD dollars at work. “All graft, all the time” would be a good slogan. #GApol
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Nathaniel William Horadam @horadam.bsky.social · 30/09/2026
From a clean energy standpoint, this is quite bad. We use a ton (technically, many tons) of the stuff in our EVs, their batteries, & solar panels. Also to build those new manufacturing plants. And it's not clear there are many good policy options on the table (other than, you know, axing tariffs).
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Prasad Jallepalli, MD, PhD @prasad.bsky.social · 24/09/2026
“1st, rather than cut NIH by nearly 40 percent, as the OMB proposed last year, we should double its $48 billion budget within five years. These are big numbers, but if they yield discoveries that trim the nation’s $5.3 trillion health bill by just 1 percent, they will more than pay for themselves.”
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Jesse Couk @jessecouk.bsky.social · 16/09/2026
The man who owned Panahar was so kind and welcoming.
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Jesse Couk @jessecouk.bsky.social · 11/09/2026
How many endoscopies have been delayed because we decided to change the species name for Strep bovis?
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Ed @notdred.bsky.social · 07/09/2026
I guess it’s important to communicate that MAHA is fundamentally an movement by individuals to capture health care dollars by lying to people about having products and services that work
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Alex Merz 🇺🇸🇨🇦🇺🇦 @merz.bsky.social · 04/09/2026
COVID vaccine. Note that even in 2026, it's more accessible to most people in the US than to most in the UK.
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Mayor of MARTA @mayorofmarta.bsky.social · 03/09/2026
Someone did an Open Records Request into ATL Spoke ridership. The cost per rider is $112. mikehikes.github.io/beep-analysis/
mikehikes.github.io
ATL Spoke Ridership — Summary
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Jesse Couk @jessecouk.bsky.social · 22/08/2026
Insurance company denied an elderly patient’s HIV medication and because of this denial they began taking what insurance would cover by itself which turned out to be completely ineffective and thus harmful. It should be impossible to deny a patient’s established ART regimen.
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Nathaniel William Horadam @horadam.bsky.social · 22/08/2026
Patriotic Americans have an obligation to stand with our country. Which means standing with Canada and our other G7 allies.
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BK. Titanji @boghuma.bsky.social · 11/08/2026
I cannot control the vaccine disinformation coming from the White House. But I can control what happens when I walk into a patient’s room, sit down, listen and try to earn their trust. This matters more than ever. There is too much at stake. bktitanji.substack.com/p/that-space...
bktitanji.substack.com
That Space Still Belongs to Us
When vaccine misinformation comes from the highest levels of government, the work of building trust with our patients matters more than ever.
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public health guy @publichealthguy1.bsky.social · 10/08/2026
really nice writeup from CDC's campus on friday
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BK. Titanji @boghuma.bsky.social · 03/08/2026
Any outbreak of an infectious disease, even relatively benign ones, if allowed to spread uncontrolled will record rare complications/ presentations and even deaths. Cyclospora outbreak has caused 2 deaths in Michigan. www.nbcnews.com/health/healt...
nbcnews.com
Michigan reports 2 deaths in cyclosporiasis outbreak
More than 11,000 cases of the foodborne illness have been confirmed in the state and 193 people have been hospitalized since early May.
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Jesse Couk @jessecouk.bsky.social · 03/08/2026
The fact that people are shifting from “no one died” to “no deaths that matter” feels all too familiar. At some point it shifts to “well everyone dies”. If people are hospitalized from something preventable we should prevent it. Why waste our breath arguing in favor of fecal contamination?
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public health guy @publichealthguy1.bsky.social · 17/07/2026
“… the CDC lab that responds to outbreaks of the parasite cyclospora was downsized from 11 people to just 3”
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Eli Perencevich @eliowa.bsky.social · 08/07/2026
No ICU nurse would let many non-relatives call their patient and talk for 20 minutes
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Jesse Couk @jessecouk.bsky.social · 07/07/2026
Excellent study on the ability of flu vaccine to prevent death in children. VE was 80% (95% CI 75–84) overall, 77% (95% CI 71–82) among children with underlying medical conditions and 87% (95% CI 84–89) among children without known conditions.
publications.aap.org
Influenza Vaccine Effectiveness Against Pediatric Death in the United States: 2016–2025
BACKGROUND AND OBJECTIVES. Seasonal influenza vaccination has been shown to reduce the risk of influenza and severe complications among children aged 6 months and older. Since 2010, reported numbers o...
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Anthony Michael Kreis @anthonymkreis.bsky.social · 07/07/2026
I just came across this— no need to apologize. The danger of politically motivated history is real. This is why @evanbernick.bsky.social, @gowder.io, and I used the Dunning School as a prime example of the threat shoddy academic poses to society. Modern purveyors of mistruth must be confronted.
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public health guy @publichealthguy1.bsky.social · 06/07/2026
bluesky was right about platner, right about ICE, right about dems fighting back vs. moving to the middle, right about AI and data centers…
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"Online Rent-a-Sage" Bret Devereaux @bretdevereaux.bsky.social · 04/07/2026
A good day to remember that one of the indictments against George III in the Declaration was, "He has endeavoured to prevent the population of these States; for that purpose obstructing the Laws for Naturalization of Foreigners; refusing to pass others to encourage their migrations hither"
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Anthony Michael Kreis @anthonymkreis.bsky.social · 01/07/2026
The common law’s path in England and the colonial legal order did, in fact, diverge—but only for nonwhites. The 14th Amendment was designed to de-racialize the natural born citizenship rule and enshrine it, overturning Dred Scott. The Alito opinion, however, says the rejected rule is relevant today.
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BK. Titanji @boghuma.bsky.social · 30/06/2026
Excited to share our latest publication in AIDS! We performed one of the largest multi-ancestry genome-wide association studies of cardiovascular disease in people living with HIV using the Million Veteran Program. We identified a novel genetic locus near NAT8 associated with CVD risk.
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Conor Sen @conorsen.bsky.social · 30/06/2026
Earnestly I think hosting the World Cup is our month-long America 250 celebration.
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Ed @notdred.bsky.social · 30/06/2026
If you actually care about Supreme Court reform, posting that the Supreme Court made a good decision here and that they stood up to Trump is surely the dumbest possible strategy
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jamelle @jamellebouie.net · 25/06/2026
the truly enraging thing is that sam alito will never face this question from a member of the public. we have allowed these people to create a wall between themselves and the people they rule over.
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BK. Titanji @boghuma.bsky.social · 25/06/2026
One of the biggest misconceptions about Ebola is that it is primarily a hemorrhagic disease. It isn't. In the current Bundibugyo Ebola outbreak in the DRC, fever, vomiting, and diarrhea dominate at presentation, while bleeding occurs in only ~10% of patients. www.nejm.org/doi/full/10....
nejm.org
Clinical Characteristics of Patients Infected with Bundibugyo Virus, DRC 2026 | NEJM
Bundibugyo virus, a filovirus, is currently spreading in the Democratic Republic of Congo. This report presents early data on symptoms and illness severity as well as diagnostic challenges.
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SourBoySam @sourboysam.bsky.social · 24/06/2026
Mirror Mirror, on the Mall.
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Eli Perencevich @eliowa.bsky.social · 24/06/2026
Those mocking the link between zoster vaccination and prevention of dementia don’t cite this Nature study showing a 20% relative reduction in dementia in the 7 years post vax. The study uses the highly valid regression discontinuity design and the best data available www.nature.com/articles/s41...
nature.com
A natural experiment on the effect of herpes zoster vaccination on dementia - Nature
Using a natural experiment that avoids common bias concerns, this study finds that the live-attenuated shingles vaccine reduced the probability of a new dementia diagnosis within a follow-up period of...
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Jesse Couk @jessecouk.bsky.social · 20/06/2026
When reviewing labs does anyone else sing "Undetectable" to the tune of Nat King Cole?
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public health guy @publichealthguy1.bsky.social · 19/06/2026
AI proponents never talk how their "disruption" harms productivity. we have to do captchas on most websites now and wade through fake studies and spam. the end of free, reliable search. having to double check AI users' work (because they rarely do). it's absurd to presume AI is good for productivity
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public health guy @publichealthguy1.bsky.social · 18/06/2026
¯\_(ツ)_/¯ ¯\_(ツ)_/¯ ¯\_(ツ)_/¯
In the weeks since Mr. Hegseth's vaccine policy took effect on April 21, only about 40 percent of Air Force trainees have opted to take the vaccine, which had previously been mandatory, an Air Force official said.
In the aftermath of the outbreak, the Air Force issued an exception to the voluntary vaccine policy, requiring that all recruits at Lackland get flu shots — part of a broader effort to stem the virus's spread.
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BK. Titanji @boghuma.bsky.social · 21/05/2026
This is still one of my favorite reviews on the topic of #EbolaVirusDisease. I always revisit whenever there is an outbreak. www.nature.com/articles/s41...
nature.com
Ebola virus disease - Nature Reviews Disease Primers
Ebola virus disease (EVD) is caused by the filovirus Ebola virus (EBOV). Although the natural host of EBOV is undefined, a single zoonotic transmission is the probable start of most EVD outbreaks. EVD...
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public health guy @publichealthguy1.bsky.social · 15/05/2026
another anti-vaxxer bites the dust ☺️
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gbadegesinlab.bsky.social @gbadegesinlab.bsky.social · 03/02/2026
It was a pleasure reviewing the @kdigo.org 2025 clin practice guidelines for PD NS for US practice. Thanks @ajkd.bsky.social for asking me to do this with Chia-shi Wang. Highlight, Levamisole not approved for use in Humans in the US!!👍
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American Journal of Kidney Diseases @ajkd.bsky.social · 09/04/2026
KDOQI US Commentary on the KDIGO 2025 Clinical Practice Guideline for the Management of Nephrotic Syndrome in Children by Chia-shi Wang and Rasheed Gbadegesin bit.ly/4q9yAqo (FREE)
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BK. Titanji @boghuma.bsky.social · 12/05/2026
Happening today at 5pm US EST. Register using the link in the post if you are interested in listening in 😊
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public health guy @publichealthguy1.bsky.social · 08/05/2026
drives me nuts when people say prosecuting the leaders of this regime is a pipe dream. all the other democracies in the world don’t seem to have a problem doing it. we can do it too.
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Alex Ip 葉清霖 @alexip718.com · 06/05/2026
You could just see how desperate white capital wants to work with Atlanta's Black elite to annul the 2016 More marta referendum and punish residents for even daring to think about using their own money to unsegregate the city with electrified mass transit
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BK. Titanji @boghuma.bsky.social · 06/05/2026
Whenever there is an outbreak of a viral illness in the news, it presents the opportunity to review the existing literature. I enjoyed this fairly recent review on #Hantavirus in Humans from 2023 published in Lancet ID . www.thelancet.com/journals/lan...
thelancet.com
Hantavirus in humans: a review of clinical aspects and management
Hantavirus infections are part of the broad group of viral haemorrhagic fevers. They are also recognised as a distinct model of an emergent zoonotic infection with a global distribution. Many factors ...
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Kathleen Bachynski @bachynski.bsky.social · 02/05/2026
Australia “is on track to meet its target of eliminating [cervical] cancer by 2035 - and it may even get there early…Most promisingly, the most recent data from 2021 shows, for the first time, there were no cervical cancer cases diagnosed in women under the age of 25.” @jackiantonovich.bsky.social
bbc.com
Australia wants to be first nation in the world to eliminate a cancer - can it?
For the first time, Australia has recorded no new cervical cancer diganoses in women under 25.
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Prof Gavin Yamey MD MPH @gavinyamey.bsky.social · 25/04/2026
🪑Really fun visiting the SCAD furniture design & industrial design studios this morning in Savannah (my niece is graduating this year!) 👓 Because I’m a ridiculous person, I had to do a little cosplay with the safety glasses 🎨 OK, off to the SCAD Sidewalk Chalk Festival now….
Me at the SCAD woodwork studio!
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Antibiotic Steward 🅱️C🆔🅿️🌟 @absteward.bsky.social · 22/04/2026
Finally published 🆕🔥PANORAMIC RCT + CanTreatCOVID Oral Nirmatrelvir–Ritonavir for Covid-19 in Higher-Risk Outpatients Paxlovid did not reduce the incidence of hospitalization or death among vaccinated higher-risk participants with SARS-CoV-2 infection #idsky www.nejm.org/doi/full/10....
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Emily Moin @emilymoin.com · 22/04/2026
I heard you like RCTs so I embedded an RCT within your RCT to inform the design of future RCTs
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BK. Titanji @boghuma.bsky.social · 07/04/2026
It's important to remember that Iran has a population of 92 million people. Actual human beings who have lives, who have dreams, who want to live.
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Thomas [DARK MODE], DO @tom.medsky.social · 27/03/2026
Just a quick note about how amazing Professor Reiss is... SHE IS LIVE POSTING A CONFERENCE THAT SHE IS SCHEDULED TO SPEAK AT IN A FEW MINUTES!
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ElieNYC @elienyc.bsky.social · 14/03/2026
I cannot adequately explain how fucked up the World Cup situation is wihen the president of a host nation *threatens the safety* of one of the participants (Iran). The USA should be removed as a host nation and if it's not, the games shoud be boycotted and ANYONE WITH A MORAL CENTER should see that.
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BK. Titanji @boghuma.bsky.social · 12/03/2026
"This conflict is worsening existing humanitarian emergencies in the region." the EIC @thelancet.com www.thelancet.com/journals/lan...
thelancet.com
Offline: The human consequences of Epic Fury
The health crisis in Iran and across the Middle East is “escalating rapidly”, reported Hanan Balkhy, WHO's Regional Director for the Eastern Mediterranean. She was speaking at a WHO press conference o...
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Primary Care Collaborative @thepcc.org · 05/03/2026
The PCC joined more than 255 orgs in signing onto the annual Friends of AHRQ appropriations letter urging Congress to fully fund the AHRQ at $500 million in FY27 and ensure that the agency has sufficient staff to manage its obligations. Read the letter ⬇️ thepcc.pub/fundahrqletter
thepcc.pub
The PCC Joins over 145 Orgs Urging Congress to Fully Fund & Staff AHRQ - PCC
The Primary Care Collaborative joined more than 255 organizations in signing onto the annual Friends of AHRQ appropriations letter. The letter urges Congress to fully fund AHRQ at $500 million in FY27...
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